COVID19

Clinical Update

Helping Families Through the COVID-19 Pandemic

Topics: Coronavirus | COVID19 | online therapy | pandemic | Telehealth | Telemedicine | Telepsychiatry

The coronavirus has called on skills that few of us learned in our training. But you don’t need to be an epidemiologist or mental health expert to take some basic steps that will make this pandemic easier for your patients and families. Telepsychiatry Telehealth is becoming the norm, not the exception, and many private practices have shifted to ph

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Psychiatry on the Front Lines of a Pandemic

Topics: Chokroverty | Coronavirus | COVID19 | New York | Podcast

Linda Chokroverty, MD, is the attending physician at the Montefiore Health Systems in Bronx, NY; Clinical Assistant Professor of Psychiatry and Behavioral Sciences and Pediatrics at the Albert Einstein College of Medicine; and Co-Chair of the Disaster and Trauma Issues Committee with the American Academy of Child and Adolescent Psychiatry. In this epi

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Expert Q&A

Gambling and Impulsive Buying: Behavior or Addiction?

Topics: Behavioral addiction | Behavioral therapy | COVID19 | Repetitive behaviors

CATR: How do we define gambling versus impulsive buying? Dr. Potenza: Gambling is defined as placing something of value at risk in the hopes of gaining something of greater value. Usually that something is money, but it need not be. Impulsive buying or impulsive shopping is purchasing something on the spur of the moment, often with little forethought a

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Expert Q&A

Telepsychiatry: From Crisis to Opportunity

Topics: Billing | Computers in Psychiatric Practice | Coronavirus | COVID19 | HIPAA | Practice Tools and Tips | Psychiatric interviewing | Skype | Telemed

TCPR: Do patients like telepsych?Dr. Yellowlees: Yes. The studies show very high levels of patient satisfaction, higher even than what we see with in-person care. Most of those studies were done before 2010, when the technology was not as good and patients often traveled to their primary care doctor’s office to connect by telemed. I suspect the satisf

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Clinical Update

Depression, Vitamin D, and COVID-19

Topics: COVID19 | Medical Comorbidities | Vitamin D

Your patient with a history of depression comes to see you with a magazine article in hand. She has read that vitamin D deficiency causes depression and wants to know if she can get hers checked. Based on what we already know about this patient, there’s a good chance her levels are low. In the US, 1 in 4 people have low vitamin D levels, and the rate

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Clinical Update

How COVID-19 Affects the Brain

Topics: C-Reactive Protein | Coronavirus | COVID19 | CRP | Lamictal | Lamotrigine | Medical Comorbidities | Neurology | Neuroscience in Psychiatry | Traumatic Brain Injury (TBI)

The COVID-19 pandemic is a source of many stress-related conditions, from grief to depression to PTSD. But there’s another problem we need to look out for in those who’ve been infected with the virus: neuropsychiatric effects. The novel coronavirus can potentially invade neurons, and the immune response to this virus can affect the brain as well. Si

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Expert Q&A

Who Should Get Lithium?

Topics: Bipolar Disorder | Bipolar II | Coronavirus | COVID19 | Lithium | Mania | Mood Stabilizers | Pharmacology | Pharmacology Tips | Psychopharmacology | Psychopharmacology Tips

TCPR: Lithium has been called the gold-standard treatment in bipolar disorder. Why is it not used more often? Dr. Rybakowski: That is a paradox. On the one hand, lithium is accepted as a first-line treatment for bipolar disorder, but it is also greatly underutilized. And I think there are two main reasons. One is aggressive promotion of branded mood st

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